RA 9048 Form - Correction of Entry
RA 9048 Form - Correction of Entry
RA 9048 Form - Correction of Entry
(LCRO)
5) The facts/reasons for filing this petition are the following: (Use additional sheets, if
neccessary.)
For Error No.1: _________________________________________________________
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For Error No.2: _________________________________________________________
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For Error No.3: _________________________________________________________
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For Error No.4: _________________________________________________________
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6) I submit the following documents to support this petition (Use additional sheets, if
necessary.)
a) ____________________________________________________________________
b) ____________________________________________________________________
c) ____________________________________________________________________
d) ____________________________________________________________________
7) I have/He/She has not filed any similar petition and that to the best of my knowledge, no
other similar petition is pending with any LCRO, Court or Philippine Consulate.
8) I am filing this petition at the LCRO of _______________________, _________________
(city/municipality) (province)
in accordance with R.A. No. 9048 and its implementing rules and regulations.
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Signature over printed name of petitioner
VERIFICATION
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Signature over printed name of petitioner
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Administering Officer
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Affirmed Impugned
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OR No.: _________________________
Amount Paid: _____________________
Date Paid: ________________________